Job Description
Job Description
Overview
*All positions are located in Fresno/Clovis CA*
We are looking for an Insurance Verification Specialist to join our growing Community Health Partners team! Community Health Partners – part of Community Health System – helps primary care physicians and specialists manage their practices. You will be responsible for the successful review of vital medical billing information, such as reviewing and verifying patient demographic details, guarantor, and insurance information. As part of the team associated with the financial process, you should be a detail oriented individual with exceptional analytical and investigative skills.
Because we know our ability to provide the highest level of care begins with our incredible staff, we provide excellent benefits. On top of competitive pay, excellent retirement plans, and other core benefits, we provide extras like free concierge services to run your errands while you work, on-demand well-being support, a free employee gym with free personal training, and more.
Your Career at Community | Opportunity. Challenge. Growth.
Responsibilities
In your role, you will:
- Gather and verify all appropriate patient demographics, injury information and financial information, including; Insurance benefits, eligibility, co-pays, deductibles and financial programs.
- Review registration critical checks, including MSPQ completion and presumptive eligibility.
- Establish payment sources through an online verification system, insurance website or phone call to insurance companies. Determine appropriate insurance plan, financial class and insurance guarantors required for billing.
- Review photo ID, insurance cards and authorize for an accurate guarantor and demographic input into the Practice Management System.
- Review account authorization requirements and notify insurance carrier in accordance to the patient benefit requirements.
Qualifications
Education
- High School Diploma, General Education Development (GED) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Experience
- 1 year of experience with patient registration, insurance and benefit eligibility verification required
Click HERE to learn more about our awesome benefits offerings as well!